<?=$this->headTitle()->append($this->translate('Report links'));?>
<div id="container_page">    
    <h2><?=$this->translate('Report links')?></h2>
        <form action="<?=$this->escape ( $this->form->getAction () )?>" method="<?=$this->escape ( $this->form->getMethod () )?>">
            
<?php
    if (isset ( $this->error )) :
        ?>
    <div class="error">
            <?=$this->error ;?>
    </div>
    <?php endif;?>

                        <?
            echo $this->form->name;
            echo $this->form->surname;
            echo $this->form->company;
            echo $this->form->email;
            echo $this->form->phonenumber;
            echo $this->form->linkreported;
            echo $this->form->urlreported;
            echo $this->form->reason;
            echo $this->form->message;

            echo $this->form->captcha; ?>

            <span id="agree">
            <?=$this->form->agree.$this->translate('literal_check_agree');?>
            </span>
            <? echo $this->form->submit; ?>
        </form>
</div>

